People possibly forced out of nursing homes if Medicaid is cut (deaths, downturn)
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Except some states, like Missouri and Kansas, are cutting home health care. That is what is keeping many people out of nursing homes. They say it will save money. It costs $31,000 a year for home health care in Missouri but put the same person in a nursing home, the cost goes to $85,000 a year. Their math is not too good.
That's crazy. Maybe they had a few cases of neglect or time stealing and threw the baby out with the bath water. I know that this lady wouldn't last 2 weeks in a nh. She was in the hospital for a week in 2015 and they didn't feed her for 6 days. They said she wouldn't eat but the thing is she takes an hour or more but if she doesn't eat within 5 minutes, they give up bc their time is so limited.
That's crazy. Maybe they had a few cases of neglect or time stealing and threw the baby out with the bath water. I know that this lady wouldn't last 2 weeks in a nh. She was in the hospital for a week in 2015 and they didn't feed her for 6 days. They said she wouldn't eat but the thing is she takes an hour or more but if she doesn't eat within 5 minutes, they give up bc their time is so limited.
It's because the states can't afford the medicaid waivers which fund these programs. HCBS waivers are not mandatory medicaid programs and when states can't afford their share of medicaid funding, or if medicaid is capped or block granted they simply will start whacking off voluntary programs like the waivers. My guess is that if the senate bill passes with the current level of funding cuts you will not see medicaid waivers in ANY state, they will be struggling to provide mandatory services.
So, if you know any in home care providers you might suggest they start looking for a new line of work ASAP
It's because the states can't afford the medicaid waivers which fund these programs. HCBS waivers are not mandatory medicaid programs and when states can't afford their share of medicaid funding, or if medicaid is capped or block granted they simply will start whacking off voluntary programs like the waivers. My guess is that if the senate bill passes with the current level of funding cuts you will not see medicaid waivers in ANY state, they will be struggling to provide mandatory services.
So, if you know any in home care providers you might suggest they start looking for a new line of work ASAP
I don't think it will pass. The AARP lobby is too powerful.
I hope not because there are going to be a lot of disabled and elderly people forced to live in nursing homes, and that's assuming that nursing homes will remain open after the medicaid cuts.
Yet we go straight to the elderly being forced out of nursing homes.
When monies were cut for the block grants it was the elderly are going to die of starvation and neglect because MOW federal money is being cut.
Agreed it would be nice to know the details of the cuts over the 10 year period, but alas we dont.
It's a little complicated, there are going to be outright cuts to some medicaid programs but this is basically what they are going to do. They are going to change medicaid funding to a per capita system which means each state will receive a fixed amount for the number of people on medicaid when the legislation goes into effect. The way that they are able to cut the spending by 700 billion is by increasing funding only by the CPI, not the actual cost of medical care which is always higher than the CPI.
The states would have to make up the deficit or reduce the number of people on medicaid, or limit the services they receive. The damage increases over time as you start to see the compounding effects of receiving less each year than is required to fund the system. So if the difference in year one between the CPI and the cost of medical care is 4%, and in the following year the difference it 5%, in just two years states would receive 9% less than they need to fund medicaid. States already pay around 40% of the cost of medicaid and for some cash strapped states like Oklahoma, they already can't meet their state obligation.
The first programs to be cut will be the 'medicare waiver' plans which provide for in home health care, mainly because it's an optional program and is not required by the feds so cash strapped states will dump it. Over time the cuts will have to come largely from seniors and the disabled because their care consumes so much of medicaid spending.
Here's a chart of how the changes will impact various population groups over time.
And they had a chance to help write Obamacare and refused.
The ACA was the best plan the Republicans ever came up with. And a few Republican Senators are now admitting it, and expressing a desire to fix it instead of adopting the horror show that the GOP is proposing.
I find it hilarious how hard the Conservatives pushed back against their own plan once Obama and the Democrats embraced it. They should have been declaring victory because the Democrats couldn't get single payer passed and had to fall back on their own Heritage Foundation's idea, but no, they are so mindlessly childish that they simply had to say NO! to everything, even their own plan. Imbiciles.
Saw yesterday on the news that the proposed cuts would shut down most drug treatment programs.
They will, that's because most of the participants in those programs are on expanded medicaid. Nevada had almost no services for the mentally ill before expanded medicaid, they've actually developed a fairly robust system with a lot of services, that will end if expanded medicaid is killed.
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